Back 2 Back Chiropractic Canton LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BACK 2 BACK CHIROPRACTIC CANTON LLC

Doing business as

Back 2 Back Chiropractic

Practice address

3422 Sixes Rd Ste 110
Canton, GA 30114-9120

Phone

(715) 862-2423

NPI assigned

Apr 17, 2025

Last updated

Apr 17, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steven Wallin, DCNPI 1831563469

Title

Owner

Phone

(715) 862-2423

Specialties & licenses 6

Addresses

Other names 1

• Back 2 Back Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Danielle Hirshowitz, D.C.

  • Chiropractor
  • Cumming, GA
  • NPI 1497293575
  Medicare reassignment NPD
• Steven Wallin, D.C.

  • Chiropractor
  • Dunwoody, GA
  • NPI 1831563469
  NPD Authorized official
• Stephanie Lurate, DC

  • Chiropractor
  • Canton, GA
  • NPI 1568839546
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1871389650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 SIXES RD STE 110",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149120",
            "telephone_number": "715-862-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3422 SIXES RD STE 110",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149120",
            "telephone_number": "715-862-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 BACK CHIROPRACTIC CANTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "WALLIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-862-2423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back 2 Back Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• India Nicole Ayoub
• Amal Azar, PHARMD
• Gordon Jerome Azar Jr., M.D., F.A.C.C.
• Nader Baaklini
• Jennifer Bacchus, PHARMD
• Back to Life (promonencechiropractic)
• Back to Life Medical Group, LLC (Georgia Pain Treatment Centers)
• Back to Life Medical Group, LLC (Spinal Medical Centers)
• Adam Davis Bagley, LMFT
• Robert Bagwell Jr., PHARMD

• Chiropractor in Canton, GA
• Providers in Canton, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.